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SR0085220
Environmental Health - Public
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4100 – Safe Body Art
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SR0085220
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Entry Properties
Last modified
8/11/2023 3:51:51 PM
Creation date
8/11/2023 3:48:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085220
PE
4103
FACILITY_NAME
CACTUS FLOWER TATTOO STUDIO
STREET_NUMBER
1012
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03311033
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
1012 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
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EHD - Public
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- Variations in color and design may exist between the tattoo art I have selected and the actual <br />tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my <br />tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of <br />pigment under the skin. <br />A tattoo is a permanent change to my appearance and can only be removed by laser or <br />surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the <br />restoration of my skin to its exact appearance before being tattooed. <br />I release the right to any photographs taken of me and the tattoo and give consent in advance <br />to their reproduction in print or electronic form. (For assurance, if you do not initial this provision, <br />please inform the Tattoo Studio NOT to take any pictures of you and your completed tattoo). <br />- I agree that the Tattoo Studio has a NO REFUND policy on tattoos, piercing and/or retail <br />sales and I will not ask for a refund for any reason whatsoever. <br />- I agree to reimburse the Tattoo Studio for any attorneys' fees and costs incurred in any legal <br />action I bring against the Tattoo Studio and in which either the Artist of the Tattoo Studio is the <br />prevailing party. I agree that the courts of located in the County of San Joaquin within the State <br />ofCalifornia shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the <br />purposes of litigating any dispute arising out of or related to this agreement. <br />- I acknowledge that I have been given adequate opportunity to read and understand this <br />document that it was not presented to me at the last minute and grasp that I am signing a legal contract <br />waiving certain rights to recover damages against the Tattoo Studio. <br />If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or <br />invalid, that portion shall be severed from this contract. The remainder of this contract will then be <br />construed as though the unenforceable portion had never been contained in this document. <br />I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am <br />competent to sign this Agreement. <br />I HAVE READ THE AGREEMENT, IT <br />NDERSTAND IT, AND I AGREE TO BE BOUND BY IT. <br />Signature <br />Print: Address: <br />Date of Birt <br />h: ,/ / City: <br />Form of Identification: <br />State: <br />
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